New from Temrex

•May 17, 2008 • No Comments

Jackie Prather of Temrex offers an sneak peek at the company’s new temporary cement, Temrex CR, and the Bite Relator assorted pack.

Laser launch

•May 17, 2008 • No Comments

Zap Lasers introduced Styla, the First Advanced MicroLaser System, at DPRWorld08

The attractive microlaser for soft-tissue management weighs just 1.9 ounces and the completely self-contained all-in-one, wire-free handheld design gives practitioners unprecedented freedom in the office and the operatory.

Below you’ll find video and audio highlights of the exciting launch, including comments from Dr. John Flucke and ZAP Lasers VP of Sales and Marketing Alex Di Sessa.

DPRWorld Staff were invited to cover the launch party for Styla, hosted by Zap here at the Mandalay Bay. In this video, Di Sessa offers a compelling argument for why this simple piece of equipment has the potential to revolutionize the way dentists think about lasers.

Jonathon Luo walks us through the benefits of Styla and explains teh practical implications and improvements for the general dentist.

Dr. John Flucke on the new Zap microlaser

Comments from Zap VP of Sales and Marketing Alex Di Sessa.

State-of-the-art Endo

•May 17, 2008 • No Comments

New materials and technologies are changing the world of endodontics. A panel with a combined 142 years of experience discussed these advances at Friday’s program, State-of-the-Art Endodontics.

Moderator Dr. Noah Chivian (pictured) kicked off the conversation with endo-related research before handing it over to the first speaker, Dr. John West.

Dr. West talked about success in endodontics and hit on the three major changes in the field: microscope technology, rotary instrumentation and digital radiography.

“As dentists, we need to know the latest and greatest,” Dr. West said. “But we need to master these things without forgetting the principles that got us here.”

Panelist Dr. Joseph Maggio discussed what dentists need to know to use a bonded root canal obturation material, and also touched on coronal leakage and its role in endodontic success.

A key development in recent years – Resilon material being used to replace gutta-percha – provides dentists with the opportunity to seal the root canal space from the orifice to the apex.

“With Resilon we have the first application of adhesive technology to the inside of a root canal,” Dr. Maggio said.

The material is gaining in popularity in recent years and Dr. Maggio stressed that there is no need for dentists to alter their present obturation technique when implementing Resilon in place of the long-used gutta-percha.

Dr. Chivian, who has worked closely with DPR over the years in helping develop endodontics survey questions, spoke on mineral trioxide aggregate (MTA). He covered how and why MTA works and explained how to use it. He focused on situations where it made the difference between retaining a tooth and extraction.

“There are many clinical applications for MTA, which was developed in the early ’90s by Tulsa Dental,” Dr. Chivian said. “Today we will focus on periapical seals, pulp capping and perforation repair.”

Dr. Chivian’s presentation featured a number of cases in which this treatment successfully avoided tooth extractions.

Dr. Martin Trope followed up Dr. Chivian’s presentation with another innovative topic. He spoke on the revascularization of immature teeth with apical periodontitis. He explained the requirements for success for vital pulp therapy: healthy “stem” tissue, lack of bacteria challenge and scaffold.

With the field of endodontics booming, especially as many GPs are getting more involved, the panelists received a number of questions from attendees. These questions and answers can be found online at DPRWorld.com.

Dentistry as art

•May 17, 2008 • No Comments

Patients walk into your office with varying esthetic wants and needs, and you have to find a way to meet them. The thought-leaders who made up Friday’s “The Fine Art of Esthetic Dentistry” panel offered plenty of insight to help get you there, from improved communication to understanding and preventing failure.

Dr. Ronald Goldstein served as the moderator while Drs. Jim Dunn, Ed McLaren, Marcos Vargas, Stephen Chu and Peter Pizzi, CDT, sat on the panel.

Dr. Dunn kicked off the discussion with his thoughts on meeting esthetic demands conservatively. Communication—whether it’s with patients, lab technicians, or specialists—is among the keys to making that happen.

One of the best ways to communicate is visually, Dr. Dunn said, making photos a vital part of your practice. The ability to write on the photos takes that communication to another level and increases patient understanding.

“This kind of communication is essential,” he said. “We find that patients respond when it’s interactive.”

The esthetic conversation continued with Dr. Vargas, who used his time to talk about how to create a restoration that no one else can see. He talked about how to make accurate shade selection and cavity preparation and the importance of matching replacing dentin with dentin-like material and replacing enamel with enamel-like material.

“I believe that when you do restorations, they can defy detection,” he said.

Peter Pizzi, CDT, MDT, took the stage next, where he emphasized the importance of effective communication within the dental team. He also listed quality photos as one way to achieve that communication.

Dental team members need to create a system to help make them better at what they do, he said, and he illustrated his point on the big screens with a t-shirt folding video. The woman on the screen folded that shirt in three quick movements.

“In one small, quick system they’ve accomplished something cool,” Pizzi said. “It’s systematic. How do we take that system and apply it to what we do?”

Dr. Chu offered his thoughts on predictable diagnosis and treatment of clinical crown and gingival architecture discrepancies in the aesthetic zone. It’s all about size, he said, and recognizing that it’s different with different patients.

“It’s putting the whole package together,” he said. “It’s selecting the right sized tooth. Dentists have the ability to be artists, but also can be architects.”

The presentations ended with Dr. McLaren, who talked about all-ceramic systems and how to understand and prevent failure.

Clinicians need to set standards so they know when something has failed, he said. He listed common situations that lead to failure, including porosity and processing defects.

The discussion ended with plenty of questions from the audience. One attendee asked the panel to pick one high-tech item that they consider a must have. Digital radiography, an imaging system, a digital camera and diode lasers were among the panelists’ favorite tools.

General session set-up

•May 16, 2008 • No Comments

Dr. Phillip Greene, who’s attending DPRWorld this week with his wife, was singing the praises of the continuing education set-up following Thursday’s State-of-the-Art Endodontics program moderated by Dr. Noah Chivian.

“I was very impressed,” the Dixon, Tenn. dentist said. “There’s a lot of good information here and this is so well organized. The three large screens are wonderful. I have been sitting on the side and you can see everything so well.”

Schick gives you options

•May 16, 2008 • No Comments

During Schick Technologies innovation center presentation, Jim Gaitan, Director of Strategic Sales Initiatives, spoke on his company’s great digital radiography products, and focused on the options, innovation and engineering they bring to the marketplace. Schick offers the only wireless sensor and their new product CDR PlusWire gives dentists the preference to work with or without a wire. “We give you a number of choices to intergrate into your practice.”

High-tech with a personal touch

•May 16, 2008 • No Comments

Surrounded by what he described as not only friends, but “bright people I’m proud to share the stage with,” moderator and self-proclaimed tech-junkie a Dr. John Flucke kicked off a morning dedicated to bringing an extremely broad topic—Practice Improving Technologies—to a relevant, practical, your office on Monday morning level.

“We’re going to give you a peek, crack open the door to the future,” he said, “by the people who are helping to create that future.”

Dr. Barry Freydberg was the first panelist to present, focusing on the esthetic-technology link or, as he calls it, Techsthetics. Dr. Freydberg made a strong case for the digital image’s ability to convince patients to pursue treatment. “The image helps create a want,” he explained. “It helps them to visualize what they’re working toward.” One of the most compelling stories he told featured a woman who actually framed her before and simulated “after” shot, kept them on her desk, and saved money for a year to come back and pay to have the work done.

Dr. Robert Lowe discussed his extensive experience with laser-assisted cosmetic dentistry, concentrating specifically on its applications in surgical crown lengthening. Using a variety of images and examples from his own practice. Responding to a follow-up question regarding the controversy over the types of closed-flap osseous procedures he discussed, Dr. Lowe simply said that such controversy “comes from us not knowing, not doing. I had one doctor tell me the closed flap doesn’t work. I asked him how many he’d done. He said zero. I’ve done hundreds and it does work. For a minimally invasive approach to areas with biologic width encroachment, this is ideal.”

Panelist Ping Fu, CEO of Geomagic, discussed not the possibility, but the eventuality of the virtual patient. “Five to 10 years down the road, the virtual and the real worlds won’t exist separately, they’ll be the same thing,” she said. “My 14-year old daughter is already there.” She challenged the audience to consider a future in which we can build a “browser” around the patient, where all the info we need for treatment planning is seamlessly integrated and at our fingertips.

Daniel Llop, CDT, shared his insights on image-guided dentistry and the way it is increasingly thrusting the profession into a new paradigm. “We must all learn to work in it,” he entreated the crowd, “because finally, it’s bringing together the interdisciplinary team for unprecedented accuracy.” Offering his personal experience as the springboard for the benefits of conebeam technology and the advent of impressionless dentistry, he told the crowd that as a person, as a patient, “I would want you to treat me in the third dimension.”

As he so ably did yesterday, Lee Culp, CDT, wrapped up the panel with his thoughts on digital impressions, emphasizing again that models are a thing of the past and that currently, “we’re creating obsolete technology to hold the dentist’s hand for the next seven to 10 years” as they learn to trust the model-less workflow. With 55 million impressions completed each year in the U.S. alone, the expectation is that digital will become the standard of care.

Dr. Steven Hensel of Lincoln, MI, shares his thoughts on this morning’s panel on practice improving technologies.

New endodontic core material

•May 16, 2008 • No Comments

DPRWorld editor Renee Knight reports live from the show floor with an exclusive on Zenith Dental’s newest product, LuxaCore® Z-Dual. District manager Ken Berkley provides an in-depth explanation of this revolutionary endodontic core material.

A close look at new products

•May 16, 2008 • No Comments

Thursday’s lineup of Innovation Center B product showcases kicked off with the latest in digital imaging from PracticeWorks, Exclusive Maker of Kodak Dental Systems.

Matt Hendrickson (pictured below), Regional Director for PracticeWorks, gave a presentation on the new Kodak 9000 3D extraoral imaging system, which is also featured in an Applying New Technologies article in the May 2008 issue of DPR.

The two-in-one system enables doctors to obtain low-dose, high-resolution 3D images as well as high-end panoramic images.

Hendrickson also described how PracticeWorks’ Logicon Caries Detection software helps dentists improve their caries detection capabilities.

Dentrix was next up and Kansas City dentist Dr. Bill Busch explained the many features of Henry Schein Dentrix’s new G3 practice management software. Dr. Busch uses the new software to help his practice go paperless. More than 400 enhancements were made from previous versions to satisfy more than 4,000 requests made by Dentrix users.

G3 features a new easy-to-use interface and allows users to import any document using the Document Center print driver, Dr. Busch said. He also showed how the software can improve efficiency as well as serve as a great patient education tool.

Dr. Joseph Maggio’s Innovation Center presentation showcased SybronEndo’s new Twisted File endodontic file. Manufactured by twisting nickel titanium, the files were recently launched at the American Academy of Endodontists annual session.

“These files were five years in development and I think this is the first time we’re speaking to GPs about them,” Dr. Maggio said from the Innovation Center stage.

The flexible files are designed to prevent breakage.

Schick Director of Strategic Sales Initiatives Jim Gaitan not only spoke about his company’s great digital radiography products, but spoke of how Schick’s partnership with Patterson Dental helps assure dentists get the best possible support.

“We not only manufacture, but we do the R&D, the design,” he said. “We’re a full service digital company We have the largest number of users, and our partnership with Patterson means you get great, fast support.”

Gaitan explained the many benefits of the CDRwireless sensors, along with Schick’s various digital x-ray offerings.

Look for videos of these and many more great products coming soon at DPRWorld.com.

No rest for the restorative panel

•May 15, 2008 • No Comments

Closing out the morning CE panels, “Cutting-Edge Restorative Options,” faced a high bar for clinical discussion and an antsy crowd, but no six participants could have handled the time slot better.

Moderator Dan Nathanson, DMD, MSD, opened the panel with a simple statement: “Innovation occurs in dentistry now, more than ever.”

Panelists Edward Swift, DDS, MS; Terry Donovan, DDS; Mark Latta, DMD, MS; and Lee Culp, CDT, added a variety of contours to that statement.

Dr. Swift challenged the concept that simpler is better when it comes to adhesives. After suggesting a simple organizational way of thinking about adhesives, he presented pros and cons, results from clinical studies at home and abroad, and offered his own “Consumer Reports-style” rating for the primary four options.

Dr. Latta spent time demystifying the mystique around nano materials. The bottom line: Today’s “nano” materials aren’t all that different from the microfills many clinicians already use. “Claims to be nano,” he said, “are more of a marketing spin than a scientific breakthrough.”

Dr. Donovan shocked the group by revealing that in spite of the popularity surrounding all-ceramic crowns, he is still a PFM guy. “It’s vastly different from what we were doing in the 1960s and ‘70s,” he said. “We now know so much more about prep design, building in color, textured opaque and more.”

Culp drew from his fellow panelists to look at the expanding role of CAD/CAM in restorative dentistry. He addressed the serious concern many lab technicians have about losing their jobs and their artistry to machines. “I challenge you to ask a photographer if he or she has lost the passion or artistry of photography after going digital,” he said. “They’ll tell you, ‘No,’ because digital offers them so many more options.” His most salient point, however, was the fact that no amount of hardware or software can replace the judgment that comes with a lifetime of experience.

The audience questions afterwards addressed needed follow-up in areas of polymerization, self-etching, and cementing zirconia crowns. Two especially memorable inquiries focused on the adoption of low-shrinkage vs. other materials and, surprisingly, co-moderator Dr. Alan Boghosian’s wine preferences.

Drs. Nicholas and James McNamara of Rathdrum, ID, regarding “Cutting Edge Restorative Options.”

Medicine and dentistry converging

•May 15, 2008 • No Comments

Among the latest developments in clinical dentistry has been the evolution from treating the results of caries to preventing it to assessing its risk factors, Dr. Joel Berg said as he opened the first DPRWorld08 panel discussion, “Emerging Technologies in Prevention Diagnosis and Treatment.”

That shift, in turn, has led to a medical approach to managing caries—namely, as a bacterial disease.

New methods of identifying a patient’s bacterial loads, such as CAMBRA (caries management by risk assessment), have been accompanied by increasingly popular methods of thwarting germs from gaining the upper hand, such as fluoride varnishes and remineralization.

Dentists also will be assuming a greater medical role—working more closely with patients’ physicians—as more becomes known of the oral/systemic link, added panel member Dr. Louis Rose, DDS, MD, professor of surgery at the University of Pennsylvania dental school. For instance, “there most likely is a cause-and-effect associated with periodontal disease and diabetes,” he said.

“Periodontal disease leads to a higher rate of severe complications [among diabetics], so management of the disease is essential.”

A taste of the ‘Taste’

•May 15, 2008 • No Comments

Attendees take time to kick back and take it in

As the CE courses ended for the day, DPRWorld08 attendees gathered in the Dental Plaza for some relaxation, conversation and, of course, some lunch.

The afternoon’s activities kicked off with the Taste of Mandalay Bay, where attendees had the chance to sample a variety of foods, from crab cakes to spring rolls to prime rib. Complimentary bar drinks helped create a festive atmosphere before attendees headed off to the innovation centers and the show floor.

“It’s perfect,” Amy J. Arbogast, DDS, said as she enjoyed some down time. “You can walk around and eat and the drinks are nice. I like it.”

Food stations, comfy couches and tables were set up throughout the Dental Plaza, where dentists spent some time chatting and reflecting on the morning’s CE. Richard Ramos, DDS, and his wife Gayle said they enjoyed the morning panels and keynotes and were looking forward to the second half of the day.

“We haven’t hit the exhibit floor yet,” Ramos said. “That’s next.”

Chris Isaak rocks Friday night!

•May 15, 2008 • No Comments

What would otherwise be one of the hottest tickets in towns, happens right on the DPRWorld floor. Charismatic rocker, Chris Isaak performs an exclusive concert for DPRWorld attendees Friday night. With lounge-style seating, beverage service, and 10 extraordinary albums to draw from, we’re in for a memorable night!

“…how to think like a CEO…”

•May 15, 2008 • No Comments

Generally, dentists are trained to be clinicians, not businesspeople. Which is why keynote speaker, Imtiaz Manji’s presentation, “Empower Your Practice!” resonated with DPRWorld attendee Vikas Soota of Mississauga, Ontario…

Empower your practice

•May 15, 2008 • No Comments

It’s time to become your own CEO—of both your life and your practice.

That means becoming a visionary and defining what success means to you, Scottsdale Center for Dentistry Founder and CEO Imtiaz Manji said during his keynote address Thursday morning at Mandalay Bay to help kick off DPRWorld08.

“We have to decide what success really means,” Manji said. “Success is doing the things we love to do, that if we had a choice in what we do in life, this is what we would do.”

Coming up with a plan is part of achieving that success, and Manji outlined five indicators for becoming the CEO of your life and your practice.

The economic crisis, advances in technology, next generation and baby boomer opportunities were also topics Manji hit on. He also stressed the importance of recognizing that patients are more than a number and that case acceptance is key to a thriving practice. Creating the right environment and building relationships is vital to establishing trust and keeping your patients from going elsewhere, which these days includes overseas.

Bottom line: It’s all about setting goals, relationships, and convergence. It’s becoming your own CEO and enjoying as much of life as possible.

“The title CEO is not reserved for the Fortune 500 companies,” Manji said. “You are the CEO of your practice. You are the CEO of your life. Success is discretionary.”